{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T15:52:52Z","timestamp":1777650772264,"version":"3.51.4"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,5,18]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Prior data demonstrate significant heterogeneity regarding coronary artery disease risk factors and outcomes among Asians in the United States, but no studies have yet examined coronary artery disease treatment patterns or outcomes among disaggregated Asian American subgroups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              From a total of 772\u00a0882 patients with known race\/ethnicity and sex who received care from a mixed\u2010payer healthcare organization in Northern California between 2006 and 2015, a retrospective analysis was conducted on 6667 adults with coronary artery disease. Logistic regression was used to examine medical and procedural therapies and outcomes by race\/ethnicity, with adjustment for age, sex, income, and baseline comorbidities. Compared with non\u2010Hispanic whites, Chinese were more likely to undergo stenting (50.9% versus 60.8%, odds ratio [\n              <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n              ] 1.39 [95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.04\u20131.87], p=0.005), whereas Filipinos were more likely to receive bypass surgery (6.9% versus 20.5%,\n              <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n              2.65 [95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.75\u20134.01],\n              <jats:italic>P<\/jats:italic>\n              &lt;0.0001). After stenting, Chinese, Filipinos, and Japanese were more likely than non\u2010Hispanic whites to be prescribed clopidogrel (86.2%, 83.0%, and 91.4% versus 74.5%,\n              <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n              s 1.86 [95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.13\u20133.04], 1.86 [95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.01\u20133.44], and 4.37 [95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.02\u201318.67], respectively,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.0001). Lastly, Chinese and Asian Indians were more likely than non\u2010Hispanic whites to be diagnosed with a myocardial infarction within 1\u00a0year postangiography (15.6% and 17.4% versus 11.2%,\n              <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n              s 1.49 [95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.02\u20132.19] and 1.68 [95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              , 1.21\u20132.34], respectively,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.0001).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Disaggregation of Asian Americans with coronary artery disease into individual racial\/ethnic subgroups reveals significant variability in treatment patterns and outcomes. Further investigation into these differences may expose important opportunities to mitigate disparities and improve quality of care in this diverse population.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.119.014362","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T09:04:37Z","timestamp":1589187877000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Heterogeneity of Treatment and Outcomes Among Asians With Coronary Artery Disease in the United States"],"prefix":"10.1161","volume":"9","author":[{"given":"Lakshman","family":"Manjunath","sequence":"first","affiliation":[{"name":"Division of Cardiology Stanford University Stanford CA"},{"name":"Stanford Cardiovascular Institute Stanford CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukyung","family":"Chung","sequence":"additional","affiliation":[{"name":"Palo Alto Medical Foundation\u2019s Research Institute Palo Alto CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiang","family":"Li","sequence":"additional","affiliation":[{"name":"Palo Alto Medical Foundation\u2019s Research Institute Palo Alto CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harsh","family":"Shah","sequence":"additional","affiliation":[{"name":"Institute for Stem Cell Biology and Regenerative Medicine Stanford University School of Medicine Stanford CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Latha","family":"Palaniappan","sequence":"additional","affiliation":[{"name":"Division of Cardiology Stanford University Stanford CA"},{"name":"Stanford Cardiovascular Institute Stanford CA"},{"name":"Palo Alto Medical Foundation\u2019s Research Institute Palo Alto CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3054-6576","authenticated-orcid":false,"given":"Celina M.","family":"Yong","sequence":"additional","affiliation":[{"name":"Division of Cardiology Stanford University Stanford CA"},{"name":"Stanford Cardiovascular Institute Stanford CA"},{"name":"VA Palo Alto Healthcare System Palo Alto CA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","unstructured":"Colby SL Ortman JM. 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